REFUND- CMV REFUND
REQUEST
Date: 7/29/2021
Mailing Address: CM HEATING
1415 BROADWAY
EVERETT WA 98201
Vendor #: 076321
Amount of Refund: $52.00 (80% OF ORIGINAL FEE)
Receipt Number: 1079268 VERISIGN 7/22/21
Permit/App Number: BLD2021-1012
(Permit Trax Fee ID# & Description)
Originally receipted in account:
$65.00 BARS#001.000.322.10.000.00
Refund to be paid from account:
113001.000.257.620
Reason for Refund: PERMIT WITHDRAWN, REFUND 80% OF THE PERMIT FEE
Requested by: De ii4e,Ne4o-w
Approved by:
City of Edmonds (�a Community Services